Organization Active NPI

Effie C. Chang, M.D., P.C.

  • Gynecology Physician
  • New Haven, CT
National Provider Identifier
1154605293
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
17026 Issued in CT
Legal business name
EFFIE C. CHANG, M.D., P.C.
Practice address
136 Sherman Ave
Suite 302
New Haven, CT 06511-5238
Phone
(203) 776-5360
Fax
(203) 787-4990
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Effie C Chang, M.D., P.C.
Title
Owner
Phone
(203) 776-5360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 17026 CT Primary

Addresses

Primary practice location

136 Sherman Ave
Suite 302
New Haven, CT 06511-5238

Mailing address

136 Sherman Ave
Suite 302
New Haven, CT 06511-5238
Phone (203) 776-5360

National Provider Directory

National Provider Directory

Locations

136 Sherman Ave
Ste 302
New Haven, CT 06511
Phone (203) 745-5660

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1154605293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 302",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-776-5360",
            "fax_number": "203-787-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 302",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-776-5360",
            "fax_number": "203-787-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFIE C. CHANG, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "EFFIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-776-5360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CT",
            "license": "17026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.